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Individual

DR. GEORGE EDWARD TOLSON IV

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.

Contact information

Practice address
1201 BROAD ROCK BLVD, MCGUIRE VAMC DENTAL SERVICE (160), RICHMOND, VA 23249-0001
(804) 675-3210
(804) 675-5952
Mailing address
1201 BROAD ROCK BLVD, DENTAL SERVICE (160), RICHMOND, VA 23249-0001
(804) 675-3210
(804) 675-5952

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401410614
VA
1223P0300X
Periodontics
15833
MA

Other

Enumeration date
05/08/2006
Last updated
07/08/2007
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